ArticleInternational journal of emergency medicine2010
Mortality in patients with loss of consciousness at the scene of trauma.
Article in International journal of emergency medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 3 citations in OpenAlex.
- Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution.Annals of surgical treatment and research · 2015Article
- Loss of Consciousness in Injuries of the Extremities is an Alert to a Higher Probability of Death.The open orthopaedics journal · 2012Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimThe aim of this study was to evaluate if loss of consciousness at the scene of an accident in patients with thoracic trauma classified by the Abbreviated Injury Scale (AIS) as thorax >2 has a different outcome in respect to immediate hospital discharge, hospitalization, death and type of accident.
methodsA prospective study was performed in the Regional Trauma Center of São José do Rio Preto. All patients with scores related to thoracic injury >/=2 were included in this study. Thus, 134 patients with penetrating and 231 with blunt thoracic injuries were evaluated. The chi-square, Fisher's exact and relative risk tests were utilized for statistical analysis with an alpha error greater than 5% (p < 0.05) being considered statistically significant.
resultsA significantly higher number of patients who lost consciousness (35-33.9%) died compared to those who did not lose consciousness (9-3.5%, Fisher's exact test: p < 0.0001) where the relative risk (RR) of death when an individual lost consciousness was 9.7 (95% CI: 4.8-19.4). In respect to the necessity of hospital treatment, those who lost consciousness were more commonly hospitalized (Fisher's exact test: p < 0.0001).
conclusionThe loss of consciousness at the time of trauma is a warning sign in patients with thoracic injuries whether associated with other types of injuries or not.
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